Analysis and Investigation of the Adhesive Strength of Ceramic and Bone Cement in Knee Arthroplasty

Leyen, S.; Vetter, S.; Plank, Harald

doi:10.1007/978-3-7985-1968-8_11

Cited by 8 publications

(12 citation statements)

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“…2 demonstrates if neither activation nor PVD layering is applied the bond strength is limited to a very low value, in good agreement with results alio loco achieved under comparable test conditions [28]. Also, Bergschmidt 29 reported reduced in vitro adhesion between ceramic femur components cemented to saw bones if the retention surfaces of the prostheses have not been treated at all for better bond strengths.…”

Section: Discussionsupporting

confidence: 75%

“…However, it is argued that those cement pockets will result in additional residual stresses in the cement layer partly claiming the bond strength between prosthesis and bone [28]. Contrary to those arguments, post mortem investigations revealed that those pockets may indeed help to improve the retention between the osseous tibial head and the tibial part of the prosthesis [11].…”

Section: Discussionmentioning

confidence: 94%

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Bone cement adhesion on ceramic surfaces—Surface activation of retention surfaces of knee endoprostheses by atmospheric pressure plasma vs. thermal surface treatment

Marx

Marx²,

Marx³

et al. 2016

J Adv Ceram

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CoCrMo alloys are contraindicated for allergy sufferers. For these patients, uncemented and cemented prostheses made of titanium alloy are indicated. Knee prostheses machined from that alloy, however, may have poor tribological behavior. Therefore, for allergy sufferers, knee replacements in form of cemented high-strength oxide ceramic prostheses which reveal excellent tribological behavior are suitable. In addition, the rate of particle induced aseptic loosening may be reduced. For adhesion of bone cement, the smooth ceramic surface, however, exposes inefficient mechanical retention spots as compared with a textured metal surface. Undercuts generated by corundum blasting, which in the short and intermediate term are highly efficient on a CoCrMo surface, are not appropriate on a ceramic surface due to the brittleness of ceramics. The corresponding textures may initiate cracks which will weaken the strength of a ceramic prosthesis. Due to the lack of textures, mechanical retention is poor or even not existent. Micromotions are facilitated and early aseptic loosening is predictable. Instead silicoating of the ceramic surface will allow specific adhesion and result in better hydrolytic stability of bonding, thereby preventing early aseptic loosening. Silicoating, however, presupposes a clean and chemically active surface which may be achieved by atmospheric plasma or thermal surface treatment. In order to evaluate the effectiveness of silicoating, the bond strengths of atmospheric plasma versus thermal surface treated and silicoated ZPTA (zirconia platelets toughened alumina) surfaces were compared with "as-fired" surfaces by utilizing TiAlV probes (diameter: 6 mm) for traction-adhesive strength test. After preparing samples for traction-adhesive strength test (sequence: ceramic substrate, silicate layer and penetrated silane, protective lacquer (PolyMA), bone cement, TiAlV probe), they were aged up to 150 days at 37 ℃ in Ringer's solution. The bond strengths observed for all aging intervals were well above 20 MPa and much higher and more hydrolytic stable for silicoated compared with "as-fired" ZPTA samples. Silicoating may be effective for achieving high initial bond strength of bone cement on surfaces of oxide ceramics and is also suitable to stabilize bond strengths in the long term under hydrolytic conditions as present in the human body. Activation by atmospheric plasma or thermal surface treatment seems to be effective prior to silicoating. Due to the proposed silicate layer migration, micromotions and debonding should be widely reduced or even eliminated.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 94%

Bone cement adhesion on ceramic surfaces—Surface activation of retention surfaces of knee endoprostheses by atmospheric pressure plasma vs. thermal surface treatment

Marx

Marx²,

Marx³

et al. 2016

J Adv Ceram

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“…Trotz der geringen Haftfestigkeit von Knochenzement auf Keramik [20] berichten Bergschmidt et al [21,22] für keramische Prothesen über ein Follow-up, bei dem innerhalb des Untersuchungszeitraums von 24 Monaten keine aseptischen Lockerungen beobachtet wurden. Man beachte aber, dass hier "Formschluss durch tiefe Zementtaschen" die geringe Haftfestigkeit beruhend auf Adhäsion z. T. ausgleichen könnte.…”

Section: Diskussionunclassified

“…Als Ergänzung des mangelnden Formschlusses von Tibiateilen könnten also tiefe Zementtaschen dienen. Tiefe Zementtaschen zur Unterstützung des Formschlusses bei tibialen Teilen sollten sich aber verbieten, weil diese zu erhöhten schädlichen Eigenspannungen in der Zementschicht führen können, die ihrerseits die Haftfestigkeit negativ beeinflussen [20]. Aus "post-mortem"-Untersuchungen ergaben sich allerdings Hinweise, dass Zementtaschen auch zur Stabilisierung der Haftzugfestigkeit zwischen dem Kopf der Tibia und dem Tibiateil der Prothese beitragen könnten [23].…”

Section: Diskussionunclassified

Haftung von Knochenzement auf keramischen Oberflächen – Deaktivierung der Oberfläche als wirksame Retentionsfläche für Knieendoprothesen durch die Adsorption von atmosphärischem Wasser

et al. 2017

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“…Nach l " Abb. 2 ist die anfängliche Haftfestigkeit auf der "as-fired"-Keramikoberfläche, also ohne Plasmabehandlung/Ausheizen und ohne Silikatbeschichtung, etwa 5 MPa, in guter Übereinstimmung mit Ergebnissen, die alio loco in einer vergleichbaren Untersuchung erzielt wurden [26]. Nach dieser Untersuchung war die anfängliche Haftfestigkeit für klinisch relevante Zementschichtstärken etwa 6 MPa.…”

unclassified

Zementhaftung auf keramischen Oberflächen – Oberflächenaktivierung der Retentionsflächen von Knieendoprothesen durch atmosphärisches Plasma vs. thermischer Oberflächenbehandlung

Marx

Reisgen

et al. 2015

Z Orthop Unfall

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Silicoating may be effective for achieving high initial bond strength of bone cement on surfaces of oxide ceramics and also suitable to stabilise bond strength under hydrolytic conditions as present in the human body in the long-term. Activation by atmospheric plasma or thermal surface treatment seems to be effective for activation prior to silicoating. Due the proposed silicate layer migration, micromotions and debonding should be widely reduced or even eliminated.

show abstract

Analysis and Investigation of the Adhesive Strength of Ceramic and Bone Cement in Knee Arthroplasty

Cited by 8 publications

References 0 publications

Bone cement adhesion on ceramic surfaces—Surface activation of retention surfaces of knee endoprostheses by atmospheric pressure plasma vs. thermal surface treatment

Bone cement adhesion on ceramic surfaces—Surface activation of retention surfaces of knee endoprostheses by atmospheric pressure plasma vs. thermal surface treatment

Haftung von Knochenzement auf keramischen Oberflächen – Deaktivierung der Oberfläche als wirksame Retentionsfläche für Knieendoprothesen durch die Adsorption von atmosphärischem Wasser

Zementhaftung auf keramischen Oberflächen – Oberflächenaktivierung der Retentionsflächen von Knieendoprothesen durch atmosphärisches Plasma vs. thermischer Oberflächenbehandlung

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